Experience of individuals with unconsummated marriage in Iran: A qualitative content analysis

Abstract

Background: Sex is one of the important aspects of marriage and a way of expressing intimacy. Unconsummated marriage is a common problem whose prevalence is about 1.5% in Iran and can significantly influence marital life.


Objective: This study aimed to assess the unconsummated marriage in a qualitative mode to offer new and beneficial solutions resulting from a better understanding.


Materials and Methods: In this qualitative study, conventional content analysis was used. Data collection and analysis were done from April 2013 to April 2014 with 11 women and 5 men participating, who were referred to the sexual disorders clinic of Tehran Psychiatric Institute and Rasool Akram hospital of Tehran, Iran. The researchers examined the files of people referred to these clinics with the diagnosis of unconsummated marriage. Our tool for data collection was a semi-structured interview. 2 experienced faculty psychiatrists recorded all the information based on standards for reporting qualitative research guidelines. Data were analyzed using qualitative technique and coding. Guba and Lincoln criteria was used for data validity.


Results: The codes of the participants’ experiences were classified into 6 main categories, which include self-concept, intrapersonal factors, partner’s problem, preparedness for sex, emotional relationship between couples, and the effects of unconsummated marriage on the participant’s life.


Conclusion: Significant experiences among women included excessive anxiety toward the society and their spouses, and among men were weakness and guilt. Being unable to have sex negatively affected their view of life and caused great harm to their selfperception. Participants personality traits and their self-concept, and attitude toward their partners were important issues.


Key words: Consummation of marriage, Iran, Sex, Marital sex, Marital relationship.

References
[1] Aliabadian A, Hassanzadeh R, Mirzaian B. Effectiveness of couples’ sexual training on marital quality, sexual attitude, and knowledge of women in unconsummated marriage. J Nurs Midwif Sci 2020; 7: 139.

[2] Ghahremani F, Ahmadi Doulabi M, Eslami M. The correlation between marital satisfaction and childbearing characteristics in women in Tehran. Int J Adolesc Med Health 2019; 33: 20190018.

[3] Willems YE, Finkenauer C, Kerkhof P. The role of disclosure in relationships. Curr Opin Psychol 2020; 31: 33–37.

[4] Hosseini S, Noroozi M, Montazery G. Investigating the relation between women’s body image and unconsummated marriage. Iran J Nurs Midwif Res 2017; 22: 363–366.

[5] Xi Y, Xia T, Colonnello E, Wang C, Lai Y, Zhang Y. Unconsummated marriage among Chinese couples: A retrospective study. Sex Med 2023; 11: qfac003.

[6] Kojo K, Oda H, Suetomi T, Negoro H, Nishiyama H. A review of intravaginal ejaculatory dysfunction and unconsummated marriage cases in the outpatient clinic for male infertility at the University of Tsukuba Hospital. J Sex Med 2022; 19: S206.

[7] Malachowska E, Jakima S, Zakliczynska H. Longterm effectiveness of successful therapy of primary unconsummated marriages. J Sex Med 2018; 15: S236.

[8] Bokaie M, Bostani Khalesi Z, Yasini-Ardekani SM. Diagnosis and treatment of unconsummated marriage in an Iranian couple. Afr Health Sci 2017; 17: 632–636.

[9] Domoney C. Vaginismus and non-consummation. 3rd Ed. United States: CRC Press; 2019.

[10] Essam El-Din MM, Abdel-Aleem HL, Hamdy AG. Assessment of sexual dysfunctions among newly married couples in Egypt: A case-control study. Al- Azhar Assiut Med J 2021; 19: 560.

[11] Mims-Gillum P. I Do.... Not! Consummating the unconsummated marriage. J Sex Med 2019; 16: S44.

[12] Marchand E. Did you come? Culturally grounded psychological treatment for female orgasmic disorder. J Sex Med 2019; 16: S43–S44.

[13] Maseroli E, Scavello I, Rastrelli G, Limoncin E, Cipriani S, Corona G, et al. Outcome of medical and psychosexual interventions for Vaginismus: A systematic review and meta-analysis. J Sex Med 2018; 15: 1752–1764.

[14] Murugan S. Unconsummation of marriage. J Psychosexual Health 2021; 3: 283–285.

[15] Dwulit AD, Rzymski P. The potential associations of pornography use with sexual dysfunctions: An integrative literature review of observational studies. J Clin Med 2019; 8: 914.

[16] O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: A synthesis of recommendations. Acad Med 2014; 89: 1245–1251.

[17] Lindgren B-M, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud 2020; 108: 103632.

[18] Chen Y, Haines J, Charlton BM, Vander Weele TJ. Positive parenting improves multiple aspects of health and well-being in young adulthood. Nat Hum Behav 2019; 3: 684–691.

[19] Kazcmi E, Zargooshi J, Fatahi Dehpahni M, Kaboudi M, Mahaki B, Mohammadian Y. Unconsummated marriage (“honeymoon impotence”): 25 years’ experience with 871 couples, in Kermanshah, Iran. Tob Regul Sci 2021; 7: 5018–5031.

[20] Zulfikaroglu E. Patient’s characteristics and outcome of therapy in vaginismus: A single-center report of nineyear experience. Sex Relat Ther 2020; 38: 24–36.

[21] Friedman S. Assessing and treating sexual dysfunctions in Orthodox Jewish couples: A summary of 41 consecutive cases. Mental Health Religion Culture 2019; 22: 930–942.

[22] Thomas ShL, Thenmozhi S. Unconsummated marriage: A new focus on psychological distress faced by Indian women and possible psychological counselling interventions. IAHRW Int J Soc Sci Rev 2019; 7: 1395– 1400.

[23] Alimi Y, Iwanaga J, Oskouian RJ, Loukas M, Tubbs RS. The clinical anatomy of dyspareunia: A review. Clin Anat 2018; 31: 1013–1017.

[24] Tavares IM, Laan ET, Nobre PJ. Cognitive-affective dimensions of female orgasm: The role of automatic thoughts and affect during sexual activity. J Sex Med 2017; 14: 818–828.

[25] Alimoradi Z, Lin CY, Imani V, Griffiths MD, Pakpour AH. Social media addiction and sexual dysfunction among Iranian women: The mediating role of intimacy and social support. J Behav Addict 2019; 8: 318–325.

[26] Marthasari RS, Marlinata A, I’tishom R. Vaginismus and infertility. Indonesian Androl Biomed J 2020; 1: 48–53.

[27] Deliktas Demirci A, Kabukcuoglu K. “Being a woman” in the shadow of vaginismus: The implications of vaginismus for women. Curr Psychiatr Res Rev 2019; 15: 231–236.

[28] Vega Gutierrez AM. Forced marriages: Balance of the international strategy to eliminate a ‘Harmful Cultural Practice’. Universitas 2018; 13: 89–112.

[29] Rudenko L, Simko R, Hudyma O, Boiko-Buzyl Y, Mateiko N, Samara O. Psychological correction of individual neurotic problems. BRAIN 2022; 13 (Suppl.): 295–308.

[30] Shahraki Z, Tanha FD, Ghajarzadeh M. Depression, sexual dysfunction and sexual quality of life in women with infertility. BMC Women’s Health 2018; 18: 92.